Individual
DR. DUSTIN CHRISTOPHER JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1930 BUFORD MILL DR, BUFORD, GA 30519-8602
(770) 882-2539
Mailing address
1930 BUFORD MILL DR, BUFORD, GA 30519-8602
(770) 882-2539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013782
GA
Other
Enumeration date
07/16/2008
Last updated
08/07/2014
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